Abstract
Wounds and tissue defects of the hand and foot often lead to severe functional impairment of the affected extremity. Next to general principles of wound healing, special functional and anatomic considerations must be taken into account in the treatment of wounds in these anatomical regions to achieve a satisfactory reconstructive result. In this article, we outline the concept of wound healing and focus on the special aspects to be considered in wounds of the hand and foot. An overview of different treatment and dressing techniques is given with special emphasis on the reconstruction of damaged structures by plastic surgical means.
Highlights
Our hands and feet take up the key role in interaction of our bodies with the environment
Wound healing is a complex process depending on various factors
Wounds with substantial soft tissue defects may not be suitable for primary closure
Summary
Our hands and feet take up the key role in interaction of our bodies with the environment. Superficial wounds and tissue defects on the hand and foot are frequent They may be lengthy and tedious in healing, often resulting in long-lasting morbidity or disability. The reasons for wounds are various and range from physical, chemical, or thermal trauma to infections and ulcerations based on chronic diseases connected to diabetes mellitus. They can be classified as acute or chronic considering the duration of healing [5]. It is important to choose the appropriate treatment method to avoid hypoxia, reduce edema, avoid infection, and clean the wound of foreign bodies All of these adverse factors can cause insufficient wound healing and contribute to the formation of a chronic wound [30]
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